ALL CITY FAMILY HEALTH CORP


Address: 4721 E Moody Blvd, Bldg 1 Suite 103, Bunnell, FL 32110-7706
Phone: 3865861229

ALL CITY FAMILY HEALTH CORP (NPI# 1003901687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003901687
Entity Type Organization
Organization Name ALL CITY FAMILY HEALTH CORP
Practice Address 4721 E Moody Blvd
Bldg 1 Suite 103
Bunnell
FL 32110-7706
Practice Telephone 3865861229
Practice Fax Number 3865862887
Mailing Telephone 3865861229
Mailing Fax Number 3865862887
Enumeration Date 2006-10-03
Last Update Date 2015-07-30
Authorized Official Name ERIC M ORDONEZ (OWNER)
Authorized Official Telephone 3865841229
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0401X Clinic/Center
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL FL BLUE SHIELD GK4 01
FL RAILROAD MEDICARE P00307040 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1356467773 All City Family Health Corp Clinic/Center 419 Anastasia Blvd, Saint Augustine, FL 32080-4508 2007-03-21
1598881914 All City Family Health Corp Clinic/Center 905 Saint Johns Ave, Palatka, FL 32177-4649 2007-03-21

Office Location

Street Address 4721 E MOODY BLVD
BLDG 1 SUITE 103
City BUNNELL
State FL
Zip Code 32110-7706

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679673396 Palm Coast Chiropractic Center, Jta Inc Chiropractor 4721 E Moody Blvd, Suite 101, Bunnell, FL 32110-7706 2006-09-23
1750708004 Chance 2 Change Clinic/Center 4721 E Moody Blvd, Ste 107, Bunnell, FL 32110-7705 2014-03-25
1578991782 Qwikcare Inc Nurse Practitioner 4721 E Moody Blvd, Suite 204, Bunnell, FL 32110-7705 2013-10-25
1427316082 Neal A Isaac Physical Therapist 4721 E Moody Blvd, Building #1, Suite 103, Bunnell, FL 32110-7705 2012-05-01
1598968257 Kimberly A Sanfilippo Respiratory Therapist, Registered 4721 E Moody Blvd, Bldg 1 Ste 103, Bunnell, FL 32110-7705 2007-06-08
1386847051 Ginger Tripp Physical Therapist 4721 E Moody Blvd, Blg 1 Ste 103, Bunnell, FL 32110-7705 2007-06-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669017349 Ashley Jessica Harris Nurse Practitioner 2795 County Road 13, Bunnell, FL 32110 2019-11-17
1407321698 Medical Risk Solutions Family Medicine 1769 E. Moody Blvd, Bunnell, FL 32110 2018-10-04
1518225408 Christopher Manly Deck Occupational Therapy Assistant 5795 Chestnut Ave, Bunnell, FL 32110 2012-04-27
1588947337 Flagler Mental Health Center, Pa Community/Behavioral Health 2729 E. Moody Blvd Ste 105, Bunnell, FL 32110 2011-09-27
1922273606 Nancy Hutt Culver Technician 2384 County Rd 305, Bunnell, FL 32110 2008-04-24
1487772984 Jennifer Lois Fraser Dentist 35 Caroline Street, Bunnell, FL 32110 2007-03-26
1750463154 Jennifer L Thornton Chiropractor 4721 East Moody Blvd, Suite101, Bunnell, FL 32110 2006-10-19
1720175649 Bunnell Medical Center Inc Family Medicine 700 E. Moody Blvd, Bunnell, FL 32110 2006-10-10
1245326990 Patrick Gerald Reed Chiropractor 4601 East Highway 100, Suite G4, Bunnell, FL 32110 2006-10-04
1013000652 Flagler Diagnostic & Sleeping Disorder, Inc, Inc Clinic/Center 4721 E. Moody Blvd Suite 104, Bunnell, FL 32110 2006-10-02
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Taxonomy Information

Taxonomy Code 261QR0401X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Definition

Definition to come...

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1245750967 Semper Therapy Center Inc Clinic/Center 8500 Sw 8th Street, Suite 224, Miami, FL 33144 2017-06-23
1477089274 Sardonyx Group Therapy Inc Clinic/Center 4320 W Broward Blvd Ste 4, Plantation, FL 33317-3756 2017-05-11
1548637671 Lilypad Counseling Services Clinic/Center 9589 Verona Lakes Blvd, Boynton Beach, FL 33472-2759 2015-08-24
1144619610 Tnr Staffing, LLC Clinic/Center 6141 Lakae Worth Road, Lake Worth, FL 33463-3807 2015-01-21
1144562612 Jl X Ray Options, Inc Clinic/Center 10340 Nw 36th Ct, Miami, FL 33147-1036 2013-03-22
1609122639 Ariel Perez Clinic/Center 4070 Nw 5 St, Miami, FL 33126 2012-07-27
1942572805 Instituto Medico Del Dolor LLC Clinic/Center 717 Ponce De Leon Blvd Ste 218, Coral Gables, FL 33134-2048 2012-02-07
1902174683 Pulyterapia Spa Corp Clinic/Center 9369 Fountainbleau Blvd Apt J108, Miami, FL 33172-5629 2011-12-08
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Competitor

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City BUNNELL
Zip Code 32110

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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